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Employment Positions

Position(s) applying for: EMT/Paramedic/Other (please specify)

Personal Information
Are you 18 year of age or older?
Are you a U.S. citizen approved to work in the United States?
Will you consent to a mandatory controlled substance test?
Do you have any condition which would require job accommodations?
Have you ever been convicted of a criminal offense (felony or misdemeanor)?

*Note: no applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

*Note: Vitalogy EMS LLC complies with ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Education and Training
Are you curretly a member of the United States Armed forces?
Are you a veteran or former member of the United States Armed Forces?
Previous Employment (Last 3)

Employer 1 

Employer 2

Employer 3

References: Please provide 3 personal and/or professional references below:

Reference 1 

Reference 2

Reference 3

Additional Information

Please attach copies of your NREMT certification, Montana State EMS license, and CPR provider card. 

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At-Will Employment

The relationship between you and the Vitalogy EMS LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Vitalogy EMS LLC. No representative of Vitalogy EMS LLC has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that you reemployment is "at will," and that you acknowledge that no oral or written statements regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President. 

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